Healthcare Provider Details

I. General information

NPI: 1891986279
Provider Name (Legal Business Name): ARMANDO HUARINGA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E CESAR E CHAVEZ AVE SUITE 3300
LOS ANGELES CA
90033-2424
US

IV. Provider business mailing address

1700 E CESAR CHAVEZ AVE SUITE 3300
LOS ANGELES CA
90033-2469
US

V. Phone/Fax

Practice location:
  • Phone: 323-260-5863
  • Fax: 626-931-2458
Mailing address:
  • Phone: 323-260-5863
  • Fax: 626-931-2458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA44240
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA44240
License Number StateCA

VIII. Authorized Official

Name: ARMANDO J HUARINGA
Title or Position: MEDICAL DIRECTOR/PRESIDENT
Credential: M.D.
Phone: 323-260-5863